Direct health outcome Indirect health outcome
6.2. Theological Reflection
The research then reflected on the insights that were drawn out of the findings, highlighting the need for faith communities to appreciate their role as stewards to the assets entrusted to them. A need to engage a more holistic praxis and conceptualisation of health provision was noted. The language and ideologies influencing the praxis of religious entities has been influenced by the secular modern outlook which separated life experiences into secular and religious; a construct that ARHAP proponents argued to be insufficient to interpret African conceptualisations of well being130
130 Germond and Molapo, ‘In Search for Bophelo,
.
Furthermore, in the final chapter we have argued that we need to inform and deepen our understanding and practice of theology as the church or faith community by undertaking two tasks: i) Stewardship of religious assets in mission, and ii) Developing dialogical structures with other health partners. In this way, we argue that the Churches and faith communities can best use their assets to contribute to the wellbeing of the people of Africa to bring meaningful and sustainable development that is appreciated by the communities they partner with.
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86 Appendix I: Information Form for Key Informants
ARHAP Lesotho Study
Health Care Providers
Fieldwork Cover Sheet
Archive Code:
INTERVIEW DETAILS Interviewee:
Healthcare centre:
Description:
Position:
Phone number:
Email address:
Address:
Date:
Place:
Time:
DEMOGRAPHIC INFORMATION Age:
Nationality:
Race:
Gender:
Marital Status:
Children:
Religious Affiliation:
Education (Western):
Education (Cultural):
Time in position:
Length of contract:
Time in Lesotho:
COMMENTS ON INTERVIEW
87 Appendix II: Sample Interview Transcript – Health Care Trainer
INTERVIEW TRANSCRIPT
CODE: EV HP 01 FB
INTERVIEWER: Evelyn Hope Chipo Vera
INTERVIEWEE: Noma Betty (Not Real Name) – Mission Aviation Fellowship
DATE: 28/07/04
Transcript:
E: This is the interview of Noma Betty by Evelyn Vera on the 28th of July 2004. Right Noma, if you can just start basically by giving your background; where you were born. -- - a brief history of you.
N: I was born here in Maseru, Queen II. I don’t know whether it was night or day. (both laugh). The fourth of July, 1979. My mother had just arrived from Kimberley where she was married. So – then I grew up, in fact I grew up in Qwaling where I stayed with my uncle from – Vereeniging – the one who died and we had to buy a land, build a house.
Then we moved to our own ---. Then I went to school Hoohlo Primary School near the border. We used to live in Maseru West, for sometime – I think for five years. She was working at the American Embassy.
E: O. K. she was working as what?
N: As a cook actually - as a chef sort of. Then I went to Itekeng Secondary School. Form one up to Form three. Then I had to leave the secondary I had to go a high school – I had to go a high school – (Admin Reed) High School –near – it was a hill near – the Teachers Training College. And then after that I had to stay home because when I wrote, I didn’t pass maths and I didn’t have – my English was good but not that good – you know the English you pass but the symbol but --. And then I had to stay home – I stayed home.
And then –
E: How long is, ‘I stayed home?’
N: Uhmm, I think for two years, doing nothing. Then I had about this Lesotho Youth Anti AIDS Movement for the youth who were doing nothing who wanted to be counsellors, peer educators. Learn more about life skills and all that and be trainers of trainers. Then I went there and I was trained 1998. And then I came in 19 – in 1998 I was trained as a Youth Peer Educator, then in`99 was trained as a Youth Counsellor and then –
E: Who was doing all this --?
N: It was the Ministry of Health, under Health Education. Then I want to – Allais François to do french – I don’t know how to speak French. I went there for nine months. And then my money ran out. Then I have to go to the computers – we didn’t have them that much in those days. Then I do computers and then I got my certificate, I passed. And then in 2000, I was still with the youth organisation, I met Mrs Majara. At that time she was a Personnel of Agriculture with the Ministry of Agric. And then she had just opened a Youth HIV/AIDS unit – because the government said every – department or whatever government thing should have a 2% aside for the AIDS activities. So she wanted some youth to help her with the AIDS issues because they needed the young farmers or whatever who were still there at the college. And then we were appointed me and my
88 other friend – she’s now with the CIDs. And then we worked from 2001 to 2002, and then in December 2002 –
E: What were you working as?
N: We were Peer Educators and Youth Trainers in Life Skills.
E: O. K. What does that involve?
N: It involves something like self-esteem; you know youth should have confidence in themselves. Really they should not let anything happen to them saying that, ‘I’m useless and all that.’ We had to encourage youth and then we had to teach them about HIV and AIDS. They didn’t know anything. It wasn’t our fault anyway – we thought that it was only the Ministry of Health that had to do that, but in which case it was wrong – so we really spoke about HIV and AIDS – how it’s affecting the youth and the numbers that were increasing. And these youths projects that were teen pregnancy and the marital status and so – in fact that’s what we did.
E: How was that experience – having to speak --?
N: Aiya ya! It was hell you know – you could stand up in front of all those youth – you look at them and they are so big. And you say, ‘ah - ah - I’m so young and these people are so big’ but you know - it’s the same. The age difference ---
E: How old were you then?
N: I was something like twenty. You know, it was really scary because some of them –eh!
had lived. Before they wanted to change - their behavioural changes, they had lived. You tell them, ‘abstain from sex,’ and they ask you, ‘what do we do when we abstain?’ so I didn’t have anything. Now I thought, ‘Why don’t we start a youth group or something?’
that’s when the idea came and she said, ‘Oh ya, you should start a youth group and call it a youth group – or support group or something like that.’ So in different areas that we go to – different districts we went to they used to choose which name they want and then we start the youth group. We went to Mokhotlong, TY, Leribe, Mohele’s Hoek, Quthing and Qacha’s Nek. These are the places we went to - most of them. – some of them. And the FTC – Farmers’ Training Centres ---- so we trained them. Really it was nice but. At other places you find that this youth you can see that she is sick or what - but they don’t want to talk – it’s very frightening. That’s when my counselling skills came – ya – I had to talk to them for so long – that, ‘you know, once you know that you are positive or what, it doesn’t mean that you are going to die. Because the thing that they went with – the mind that they went with when they went to test – mean while they go with, ‘ I know I’m negative.’ Only to find that they are positive – so that made them really low. So you – find that they are always afraid of other people – they just lock themselves.
E: So did you have to counsel those people who had tested positive after they’ve got the results?
N: I didn’t really have to, I could talk to them after they have learned but at the clinic, at the hospitals – they were counsellors – the nurses. So we – we just advised them, ‘you can go and talk. If you feel that you are seeing this and this – have you tested?’ – but you don’t have to push them. It has to be their own will and all that – really they would just go and come and tell you, ‘I went and the counsellor was nice or the counsellor was this’ – I remember I had this one friend - he died. Ya, we worked with him actually. So he said - he found out that he was positive when he was in the --- in Durban. He was sort of an Indian. He wanted to go to Saudi Arabia. He got a scholarship and then they said, ‘Saudi – Saudi people you can’t go there unless you have tested negative.’ So when he found out
89 that it was late. But when he got to the hospital, there the nurse said, ‘here are your
results –you are positive, now go and live your life.’ You know – it was very bad and he was always depressed. So we always had to be with him; talk to him; encourage him until he came out of his shell and talked ---. And then he always wanted to talk – advise the youth – how to handle everything and it was O. K. – and really - it was – I learnt a lot from him – a lot. But then he died in 2002 – in September.
E: What kind of things do you feel you learnt?
N: Oh, a lot. You have to accept yourself no matter – how people treat you – as you are when you are positive. And talking, is the medicine – is the cure. He always told me – he told me – you know, I was always telling people we should talk. Then they would laugh – but I didn’t know – when they were others – how they were feeling, until he told me,
‘You know, when you are in a position that you are positive, really, talking is the best medicine ever.’ So really, I learnt that communicating and talking more is more better than just keeping quiet and --. And then, he liked talking to people, meeting people – you shouldn’t always be alone. He said, ‘Whenever I am alone, I feel like now my everything is coming back to me. But when I’m with people, it’s much better that way. I can just – not be depressed. So really – that was my. And then, from the Ministry of Agric I had to leave because now the lady – the project was cancelled—it was a project actually. It was funded by the GTZ.
E: What is GTZ?
N: The German –I don’t know E: O. K.
N: But it’s like – because they were the ones who was giving the anti-retro viral drugs.
When it was supplying some of the clinics and hospitals in the country. So when the project was through and the money was out, she couldn’t keep us any longer. We were volunteers actually, we were not being paid, but she used to give us some compensation or something. So afterwards, I think, I didn’t even stay at home because I heard about this job here. MAF was looking for - actually it was four people who would be working. So 2002 I applied – after a week staying at home, then I got the reply then I came to – E: What did they say when they were adverting the job?
N: It wasn’t advertised actually—
E: It wasn’t advertised?
N: I heard through somebody who worked here. I used to have a friend here he told me,
‘Hey I know you are a Youth Peer Educator and all that – why don’t you apply at MAF where I work. There are looking for some people and all that. And then I said, ‘Oh, that’s it.’ And then I wrote and then I came here – and then I found, ‘Ha! People I know who go to church with me.’ Then I saw Ntate Rick, he was still the Manager at that time. Then I applied. After a week they told me, ‘You’ve got the job.’
E: What did they say they needed?
N: They didn’t know. (whispering) E: They didn’t know?
N: When I came here, E: (Laugh) O. K.
N: The response – really. We had to do this. We had to go to the mountains actually – training people. And it was my first time to train all the people. I was always training my youth or those young people who had just got married. Not women – older people – the